Organization
HERRICK MEDICAL CENTER REHAB
Active
Parent organization
HERRICK MEDICAL CENTER
Other names
Herrick Memorial Hospital Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERRICK MEDICAL CENTER
Authorized official
TIM JAKACKI (PRESIDENT)
(517) 265-0900
Entity
Organization
Contact information
Practice address
500 E POTTAWATAMIE ST, TECUMSEH, MI 49286-2018
(517) 424-3000
(517) 265-0496
Mailing address
500 E POTTAWATAMIE ST, TECUMSEH, MI 49286-2018
(517) 424-3000
(517) 265-0496
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00085
BCBS
MI
01
—
06088
PARAMOUNT
MI
01
—
104806
PREFERRED CHOICE &CARE CH
MI
05
—
1556080
—
MI
05
—
5170836
—
MI
01
—
H04405
M-CARE
MI
Enumeration date
01/30/2007
Last updated
07/22/2010
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